Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey Forka, MSN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1780087213

Audrey Forka, MSN, PMHNP-BC is a Nurse Practitioner in Havre de Grace, Maryland. Qualified in 2015, 11 years ago. Practices with Upper Chesapeake Medical Services Inc, an 18-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2014
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

611 S Union Ave
Havre de Grace, MD 21078-3421
Phone: (443) 526-6133
Fax: (443) 526-6134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 S Union Ave, Havre De Grace, MD 21078-3409 — (444) 843-8050

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AC001470 (MD)

Record details

NPI number1780087213
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 29, 2014
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Upper Chesapeake Medical Services Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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